Organization Active NPI

Mja Healthcare Services Inc

  • Home Health Agency
  • Grand Prairie, TX
National Provider Identifier
1306170097
Registry record updated Sep 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MJA HEALTHCARE SERVICES INC
Practice address
3129 Pine Valley Dr
Grand Prairie, TX 75052-7506
Phone
(469) 682-4450
Fax
(972) 602-1745
NPI assigned
Sep 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Aigbedion
Title
Owner/Admin
Phone
(469) 682-4450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3129 Pine Valley Dr
Grand Prairie, TX 75052-7506

Mailing address

3129 Pine Valley Dr
Grand Prairie, TX 75052-7506
Phone (469) 682-4450

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254096000000",
    "number": "1306170097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3129 PINE VALLEY DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527506",
            "telephone_number": "469-682-4450",
            "fax_number": "972-602-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3129 PINE VALLEY DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527506",
            "telephone_number": "469-682-4450",
            "fax_number": "972-602-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJA HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-28",
        "last_updated": "2009-09-28",
        "status": "A",
        "authorized_official_last_name": "AIGBEDION",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/ADMIN",
        "authorized_official_telephone_number": "469-682-4450"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.